Kelsey E. Fohner

(479) 250-9708
Associate
(479) 316-4069 Fax
Kelsey.Fohner@KutakRock.com

Ms. Fohner is an associate in Kutak Rock’s National Health Care practice group. Ms. Fohner’s practice includes representing large health systems, individual hospitals, ambulatory surgery centers, community health providers, and individual physician practices in transactional and regulatory compliance. She is a Certified Mediator-Civil Division in the State of Arkansas.

Representative Experience

Health System and Hospital Operations and Governance: As outside counsel, Ms. Fohner has experience providing daily operational counsel to clients related to the various aspects of the health care industry including:

  • General risk management advice, including patient consents, termination of physician-patient relationship issues, and relevant state law for health care directives.
  • Facility and practitioner licensing and scope of practice requirements.
  • The Joint Commission standards for accreditation.
  • Medical staff issues, including peer review and quality review committees.
  • EMTALA related issues, including preparation of transfer agreements, advising the Medical Staff regarding its obligations and developing EMTALA policies.
  • Advising governing boards of fiduciary duties and general compliance with governing documents.

Ms. Fohner previously spent 16 months providing on-site support to a large health care delivery system.

Physician-Hospital Contracting: Ms. Fohner has significant experience drafting and negotiating various agreements between hospital systems (or their related subsidiaries and affiliates) and physician groups to comply with federal and state fraud and abuse laws (notably, the Stark Law, Federal Anti-Kickback Statute, and analogous state variations), including:

  • Physician employment agreements, including template agreements to be used broadly across a health system.
  • Professional services agreements for exclusive and no-exclusive service lines, including radiology and pathology.
  • Call coverage agreements.
  • Administrative services agreements, including Medical Directorships and physician leadership positions.
  • Physician recruitment agreements.
  • Timeshare and office-space lease agreements.
  • Purchase agreements for physician practice acquisitions.

Licensing Compliance: Ms. Fohner has experience reviewing various Federal and state regulatory requirements related to facility and practitioner licensing, health care transactions and Federal and state reimbursement requirements, including Medicare filings, Conditions of Participation and Conditions for Coverage, provider-based status, national accreditation requirements, related state licensure, and certificate of need (CON) laws.

Corporate Compliance and Fraud and Abuse: All aspects of Ms. Fohner’s practice include application of general compliance principles and fraud and abuse prevention, including:

  • Review and preparation of corporate compliance materials and compliance programs to comply with the Health Insurance Portability and Accountability Act (HIPAA) and relevant Office for Civil Rights (OCR) requirements, as well as Guidance from the Office of Inspector General (OIG) for compliance programs.
  • Advising clients regarding compliance with the Federal Stark Law, Federal Anti-Kickback Statute, and the Civil Monetary Penalties law, including review under the beneficiary inducements prohibitions.
  • Preparation of Corporate Integrity Agreement annual reports.
  • Counsel to clients regarding interpretation and application of Corporate Integrity Agreement provisions.
  • Advising clients regarding CMS’ Self-Referral Disclosure Protocol.
  • Review and investigation of fraud and abuse allegations, including preparation and submission of documents to the CMS Self-Referral Disclosure Protocol.